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Chordoid Glioma of the Third Ventricle
Karen L. Salzman, MD; John H. Rees, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Chordoid glioma of third ventricle (CGOTV)
              • Definitions

                • Rare glioma arising from anterior wall/roof of 3rd ventricle

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Bielle F et al: Chordoid Gliomas of the Third Ventricle Share TTF-1 Expression With Organum Vasculosum of the Lamina Terminalis. Am J Surg Pathol. ePub, 2015
                                            2. Hewer E et al: Suprasellar chordoid neoplasm with expression of thyroid transcription factor 1: evidence that chordoid glioma of the third ventricle and pituicytoma may form part of a spectrum of lineage-related tumors of the basal forebrain. Hum Pathol. ePub, 2015
                                            3. Morais BA et al: Chordoid glioma: Case report and review of the literature. Int J Surg Case Rep. 7C:168-71, 2015
                                            4. Al-Zubidi N et al: Neuro-ophthalmologic features of chordoid glioma. J Neuroophthalmol. 34(1):47-9, 2014
                                            5. Ni HC et al: Chordoid glioma of the third ventricle: Four cases including one case with papillary features. Neuropathology. Epub ahead of print, 2012
                                            6. Smith AB et al: From the radiologic pathology archives: intraventricular neoplasms: radiologic-pathologic correlation. Radiographics. 33(1):21-43, 2013
                                            7. Glastonbury CM et al: Masses and malformations of the third ventricle: normal anatomic relationships and differential diagnoses. Radiographics. 31(7):1889-905, 2011
                                            8. Dziurzynski K et al: Diabetes insipidus, panhypopituitarism, and severe mental status deterioration in a patient with chordoid glioma: case report and literature review. Endocr Pract. 15(3):240-5, 2009
                                            9. Kawasaki K et al: Chordoid glioma of the third ventricle: a report of two cases, one with ultrastructural findings. Neuropathology. 29(1):85-90, 2009
                                            10. Kim CH: Chordoid glioma with calcification and neurofilament expression: case report and review of the literature (Iwami et al. Surg Neurol 2008;10.1016/j.surneu.2007.07.032). Surg Neurol. Epub ahead of print, 2009
                                            11. Sangoi AR et al: Distinguishing chordoid meningiomas from their histologic mimics: an immunohistochemical evaluation. Am J Surg Pathol. 33(5):669-81, 2009
                                            12. Horbinski C et al: Chordoid Glioma: A Case Report and Molecular Characterization of Five Cases. Brain Pathol. Epub ahead of print, 2008
                                            13. Lehman NL: Central nervous system tumors with ependymal features: a broadened spectrum of primarily ependymal differentiation?. J Neuropathol Exp Neurol. 67(3):177-88, 2008
                                            14. Vanhauwaert DJ et al: Chordoid glioma of the third ventricle. Acta Neurochir (Wien). 150(11):1183-91, 2008
                                            15. Brat DJ: The elusive origin of chordoid glioma. Arch Pathol Lab Med. 130(4):437-8, 2006
                                            16. Jung TY et al: Third ventricular chordoid glioma with unusual aggressive behavior. Neurol Med Chir (Tokyo). 46(12):605-8, 2006
                                            17. Leeds NE et al: Origin of chordoid glioma of the third ventricle. Arch Pathol Lab Med. 130(4):460-4, 2006
                                            18. Kurian KM et al: Third ventricular chordoid glioma: clinicopathological study of two cases with evidence for a poor clinical outcome despite low grade histological features. Neuropathol Appl Neurobiol. 31(4):354-61, 2005
                                            19. Grand S et al: Chordoid glioma of the third ventricle: CT and MRI, including perfusion data. Neuroradiology. 44(10):842-6, 2002
                                            20. Kleihues P et al: The WHO classification of tumors of the nervous system. J Neuropathol Exp Neurol. 61(3):215-25; discussion 226-9, 2002
                                            21. Pomper MG et al: Chordoid glioma: a neoplasm unique to the hypothalamus and anterior third ventricle. AJNR Am J Neuroradiol. 22(3):464-9, 2001
                                            22. Reifenberger G et al: Chordoid glioma of the third ventricle: immunohistochemical and molecular genetic characterization of a novel tumor entity. Brain Pathol. 9(4):617-26, 1999
                                            23. Brat DJ et al: Third ventricular chordoid glioma: a distinct clinicopathologic entity. J Neuropathol Exp Neurol. 57(3):283-90, 1998
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Abbreviations

                                                          • Chordoid glioma of third ventricle (CGOTV)
                                                        • Definitions

                                                          • Rare glioma arising from anterior wall/roof of 3rd ventricle

                                                        IMAGING

                                                        • General Features

                                                          • CT Findings

                                                            • MR Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Bielle F et al: Chordoid Gliomas of the Third Ventricle Share TTF-1 Expression With Organum Vasculosum of the Lamina Terminalis. Am J Surg Pathol. ePub, 2015
                                                                                      2. Hewer E et al: Suprasellar chordoid neoplasm with expression of thyroid transcription factor 1: evidence that chordoid glioma of the third ventricle and pituicytoma may form part of a spectrum of lineage-related tumors of the basal forebrain. Hum Pathol. ePub, 2015
                                                                                      3. Morais BA et al: Chordoid glioma: Case report and review of the literature. Int J Surg Case Rep. 7C:168-71, 2015
                                                                                      4. Al-Zubidi N et al: Neuro-ophthalmologic features of chordoid glioma. J Neuroophthalmol. 34(1):47-9, 2014
                                                                                      5. Ni HC et al: Chordoid glioma of the third ventricle: Four cases including one case with papillary features. Neuropathology. Epub ahead of print, 2012
                                                                                      6. Smith AB et al: From the radiologic pathology archives: intraventricular neoplasms: radiologic-pathologic correlation. Radiographics. 33(1):21-43, 2013
                                                                                      7. Glastonbury CM et al: Masses and malformations of the third ventricle: normal anatomic relationships and differential diagnoses. Radiographics. 31(7):1889-905, 2011
                                                                                      8. Dziurzynski K et al: Diabetes insipidus, panhypopituitarism, and severe mental status deterioration in a patient with chordoid glioma: case report and literature review. Endocr Pract. 15(3):240-5, 2009
                                                                                      9. Kawasaki K et al: Chordoid glioma of the third ventricle: a report of two cases, one with ultrastructural findings. Neuropathology. 29(1):85-90, 2009
                                                                                      10. Kim CH: Chordoid glioma with calcification and neurofilament expression: case report and review of the literature (Iwami et al. Surg Neurol 2008;10.1016/j.surneu.2007.07.032). Surg Neurol. Epub ahead of print, 2009
                                                                                      11. Sangoi AR et al: Distinguishing chordoid meningiomas from their histologic mimics: an immunohistochemical evaluation. Am J Surg Pathol. 33(5):669-81, 2009
                                                                                      12. Horbinski C et al: Chordoid Glioma: A Case Report and Molecular Characterization of Five Cases. Brain Pathol. Epub ahead of print, 2008
                                                                                      13. Lehman NL: Central nervous system tumors with ependymal features: a broadened spectrum of primarily ependymal differentiation?. J Neuropathol Exp Neurol. 67(3):177-88, 2008
                                                                                      14. Vanhauwaert DJ et al: Chordoid glioma of the third ventricle. Acta Neurochir (Wien). 150(11):1183-91, 2008
                                                                                      15. Brat DJ: The elusive origin of chordoid glioma. Arch Pathol Lab Med. 130(4):437-8, 2006
                                                                                      16. Jung TY et al: Third ventricular chordoid glioma with unusual aggressive behavior. Neurol Med Chir (Tokyo). 46(12):605-8, 2006
                                                                                      17. Leeds NE et al: Origin of chordoid glioma of the third ventricle. Arch Pathol Lab Med. 130(4):460-4, 2006
                                                                                      18. Kurian KM et al: Third ventricular chordoid glioma: clinicopathological study of two cases with evidence for a poor clinical outcome despite low grade histological features. Neuropathol Appl Neurobiol. 31(4):354-61, 2005
                                                                                      19. Grand S et al: Chordoid glioma of the third ventricle: CT and MRI, including perfusion data. Neuroradiology. 44(10):842-6, 2002
                                                                                      20. Kleihues P et al: The WHO classification of tumors of the nervous system. J Neuropathol Exp Neurol. 61(3):215-25; discussion 226-9, 2002
                                                                                      21. Pomper MG et al: Chordoid glioma: a neoplasm unique to the hypothalamus and anterior third ventricle. AJNR Am J Neuroradiol. 22(3):464-9, 2001
                                                                                      22. Reifenberger G et al: Chordoid glioma of the third ventricle: immunohistochemical and molecular genetic characterization of a novel tumor entity. Brain Pathol. 9(4):617-26, 1999
                                                                                      23. Brat DJ et al: Third ventricular chordoid glioma: a distinct clinicopathologic entity. J Neuropathol Exp Neurol. 57(3):283-90, 1998